# MARC R LARSON DDS MS A DENTAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437800620
- **Authorized official:** DR. MARC R LARSON DDS (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (951) 546-4008

## Contact information

- **Practice address:** 6886 INDIANA AVE STE C, RIVERSIDE, CA 92506-4218
- **Practice address phone:** (951) 546-4008
- **Mailing address:** 6886 INDIANA AVE STE C, RIVERSIDE, CA 92506-4218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2022
- **Last updated:** 01/10/2022